Loading...
HomeMy WebLinkAboutWPO201300021 Application 2013-03-26 • Application for Review of ...,,,,o0,..._ , Erosion & Sediment Control Plan & Stormwater ManagementBMP Plan & -. Stream Buffer Mitigation Plan ❑ Erosion& Sediment Control Plan ❑ Stormwater ManagementBMP Plan ❑ Stream Buffer Mitigation Plan ❑ E&S Plan Amendment • ❑ SWM Plan Amendment (Previous Plan# . ) (Previous Plan# ) ❑ E&S Plan with Variance ❑Request for Exception #of Variances ❑ SWM Plan Resubmittal &S Plan Resubmittal WPO Application# WPO Application# N1P0 2-.0 1. - c ooi- Submit 2 copies each of applicable plans/narrative/computations *When a WPO plan is reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. oject Name: 0 ) 7�/G V/ T E 3l)Gl� /4---"ax map and parcel: 556: —I- 41 ? R o Zoning: AIM D T 6CZ ..,... r...... , Amount of Land Disturbance: 3 Acres Location of property(landmarks,intersections,or other): OLD 7-041-,L. 5v t s f) 4— C o n t a c t Person(Who should we call/write(concerning this project?): �r I t Idle lilt' r i2 ..„ /J 1 b,,,.S ti J G a)k-�7 Address 5 I� Mbn•n tZ 110 R i City C *V/t)A d� to State V4— Zip 22J 0-1... Daytime Phone( ) 9'7-7 0205 Fax#( ) E-mail L21)( ( C b•,1 4 L,,,,3�, • Co" Owner of Record ,( ,, ,w J sue, 1 i '4 r I . . A9 --- -t Atidriss' I 1 5 pt , c city s1 '" State ? Zip f U Daytime Phone( ) Fax#( ) E-mail Contractor Address City State Zip Daytime Phone( ) Fax#( ) E-mail Plan Preparer Address City State Zip Daytime Phone( ) Fax 4( ) E-mail Owner/Applicant Must Read and Sign By signing this application as owner,I hereby certify that all requirements of the approved Erosion Control Plan,Stormwater ManagementBMP Plan,and/or Mitigation Plan will be complied with and I have the authority to authorize the land disturbing activities and development on the subject property. I hereby grant the County of Albemarle the right to enter upon the property as required to ensure compliance with the approved plan. Signature of Owner,Contract Purchaser Date Print Name Daytime phone number of Signatory FOR OFFICE USE ONLY WPO 4 (� / / {� F-61-:e4./L -4" p ,J,--7 Fee Amount$ ' OO Date Paid '( '( �13}�who? (4fl0h�l 1 Receipt j {j� Ckfr i �/ 1 By k �� Revised November 14,2011 Page 1 of 3 'tome "owe EROSION CONTROL PLAN: (SUBMIT 2 COPIES) Land disturbing activity pertaining to single family dwelling unit: 1. Plan Review $150 per review (TO BE PAID AT TIME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL) 2 Permit and First Year Inspection Fees $150 (TO BE PAID PRIOR TO SCHEDULING PRECONSTRUCTION CONFERENCE FOR EROSION CONTROL PERMIT) 3. Annual Permit Renewal and Inspection Fees $150 (TO BE PAID ANNUALLY,STARTING WITH SECOND YEAR,UNTIL COMPLETION OF APPROVED PLAN REQUIREMENTS) 4. Each reinspection $150 (REINSPECTION FEES ARE INVOICED TO THE LANDOWNER) Land disturbing activity pertaining to non-exempt agricultural land: 5. Plan Review $150 per review (TO BE PAID AT TIME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL) 6. Permit and First Year Inspection Fees $150 (TO BE PAID PRIOR TO SCHEDULING PRECONSTRUCTION CONFERENCE FOR EROSION CONTROL PERMIT) 7. Annual Permit Renewal and Inspection Fees $150 (TO BE PAID ANNUALLY,STARTING WITH SECOND YEAR,UNTIL COMPLETION OF APPROVED PLAN REQUIREMENTS) 8. Each reinspection $150 (REINSPECTION FEES ARE INVOICED TO THE LANDOWNER) All other land disturbing activity: 9. Plan Review,Disturbed Area Less Than One Acre $150 per review (TO BE PAID AT TIME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL) 10. Permit and First Year Inspection Fees,Disturbed Area Less Than One Acre $200 (TO BE PAID PRIOR TO SCHEDULING PRECONSTRUCTION CONFERENCE FOR EROSION CONTROL PERMIT) 11. Annual Permit Renewal and Inspection Fees,Disturbed Area Less Than One Acre $200 (TO BE PAID ANNUALLY,STARTING WITH SECOND YEAR,UNTIL COMPLETION OF APPROVED PLAN REQUIREMENTS) 12. Plan Review,Disturbed Area One Acre or Larger $300 per review (TO BE PAID AT TIME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL) 13. Permit and First Year Inspection Fees,Disturbed Area One Acre or Larger $100/per disturbed acre (TO BE PAID PRIOR TO SCHEDULING PRECONSTRUCTION CONFERENCE FOR EROSION CONTROL PERMIT) 14. Annual Permit Renewal and Inspection Fees,Disturbed Area One Acre or Larger $100/per disturbed acre (TO BE PAID ANNUALLY,STARTING WITH SECOND YEAR,UNTIL COMPLETION OF APPROVED PLAN REQUIREMENTS) 15. Each reinspection $250 (REINSPECTION FEES ARE INVOICED TO THE LANDOWNER) 16. Amendment to Approved Plan $180/per plan review (TO BE PAID AT TIME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL) 17. Variances $150/per request (TO BE PAID AT TIME OF APPLICATION) 18. SUBTOTAL EROSION CONTROL PLAN $ Revised November 14,2011 Page 2 of 3 a , vase STORMWATER MANAGEMENTBMP PLAN &MITIGATION PLAN: (SUBMIT 2 COPIES) 19. Stormwater Management/BM P Plan... $300/per plan review (TO BE PAID AT TIME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL) 20. Major Amendment of Plan $180/per plan review (TO BE PAID AT TIME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL) 21. Request for exception $240 (TO BE PAID AT TIME OF APPLICATION) 22.Request for development in a stream buffer or for reduction or modification of stream buffer and mitigation plan(if not part of another document)—Single family dwelling unit or accessory structure $85 (TO BE PAID AT TIME OF APPLICATION) 23.Each inspection or reinspection $60 (INSPECTION/REINSPECTION FEES ARE INVOICED TO THE LANDOWNER) 24. Mitigation Plan $150 (TO BE PAID AT TIME OF APPLICATION) 25.SUBTOTAL SWM/BMP PLAN $ TOTAL APPLICATION FEE: (Add lines 18 and 25) $ THE OWNER SHALL BE RESPONSIBLE FOR ALL REINSPECTION AND/OR ANNUAL RENEWAL FEES WHICH MAY BE CHARGED TO THIS PROJECT. Revised November 14,2011 Page 3 of 3 • Application for Review of yoF-_,H,,' Erosion & Sediment Control Plan & Stormwater i Management/BMP Plan & Stream Buffer Mitigation Plan °' `N'" ❑ Erosion& Sediment Control Plan ❑Stormwater Management/BMP Plan ❑ Stream Buffer Mitigation Plan ❑ E&S Plan Amendment SWM Plan Amendment (Previous Plan# ) (Previous Plan # ) ❑ E&S Plan with Variance ❑Request for Exception #of Variances ❑ SWM Plan Resubmittal • &S Plan Resubmittal WPO Application# / 4sEWPO Application # .7.6 I 2_:-LAD 13 Submit 2 copies each of applicable plans/narrative/computations roject Name: C(.- 1) -7-12-A 1 L- LO( ') 4 l/ Tax map and parcel: SSA"_�-- Ad- ?02'n I '`./ Zoning: tv M 4- 6. Amount of Land Disturbance: 9 Acres Location of property(landmarks,intersections,or other): 6 C..-0 A R._ s L 3 0 Contact Person(Who should we call/write concerning this project?): . )C-(-- 2- Pb E')3 t j T-6 ' ,-, A oL-rk f 6-4-c. Address 9 I 4 /Vi C' 1't c.. II, RI City A 4/kJ 0,l/e State(14 Zip Z 2 5 C-2---- Daytime Phone( ) I -7 -7 61 Fax Fax#( ) 21 L 5 2 Zv E-mail ■ 1` C 0 `'i A Ca'-S t"` • c a-t/1/4- caner of Record M' 1t- MAT� ?a-4�� t-C- �' ��t t, ^ ,.., Address 54L:1(, (o f F i l,#de City C.. ro't-c_=>— State VX Zip?Z c) 3 2 Daytime Phone( ) Fax#( ) E-mail Contractor (s J(I2 7 Address i i -742 1 City (--/1/1 1 1.-/6 tJt IL State / Zip 2 Z q (17— Daytime Phone( ) u1(z. 0 Fax Fax#( ) E-mail Plan Preparer 1 'J tn( 5 OrtS 6A -- Address City State Zip Daytime Phone( ) Fax#( ) E-mail Owner/Applicant Must Read and Sign By signing this application as owner,I hereby certify that all requirements of the approved Erosion Control Plan,Stormwater Management/BMP Plan,and/or Mitigation Plan will be complied with and I have the authority to authorize the land disturbing activities and development on the subject property. I hereby grant the County of Albemarle the right to enter upon the property as required to ensure compliance with the approved plan. Signature of Owner,Contract Purchaser Date Print Name Daytime phone number of Signatory FOR OFFICE USE OW KJ OW ,^ tt WPO# Fee Amount$ .3010 Date Paid -��`I5y who? 1Z.6 , ' A Receipt# 011 Vt_p2 Ck# "I k t, By: Me/ G�ti i L �J N/I Revised September 15,2008 Page 1 of 3 U J "r'q. fir✓ EROSION CONTROL PLAN: (SUBMIT 2 COPIES) Land disturbing activity pertaining to single family dwelling unit: 1. Plan Review $150 per review (TO BE PAID AT TIME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL) 2 Permit and First Year Inspection Fees $150 (TO BE PAID PRIOR TO SCHEDULING PRECONSTRUCTION CONFERENCE FOR EROSION CONTROL PERMIT) 3. Annual Permit Renewal and Inspection Fees $150 (TO BE PAID ANNUALLY,STARTING WITH SECOND YEAR,UNTIL COMPLETION OF APPROVED PLAN REQUIREMENTS) 4. Each reinspection $150 (REINSPECTION FEES ARE INVOICED TO THE LANDOWNER) Land disturbing activity pertaining to non-exempt agricultural land: 5. Plan Review $150 per review (TO BE PAID AT TIME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL) 6. Permit and First Year Inspection Fees $150 (TO BE PAID PRIOR TO SCHEDULING PRECONSTRUCTION CONFERENCE FOR EROSION CONTROL PERMIT) 7. Annual Permit Renewal and Inspection Fees $150 (TO BE PAID ANNUALLY,STARTING WITH SECOND YEAR,UNTIL COMPLETION OF APPROVED PLAN REQUIREMENTS) 8. Each reinspection $150 (REINSPECTION FEES ARE INVOICED TO THE LANDOWNER) All other land disturbing activity: 9. Plan Review,Disturbed Area Less Than One Acre $150 per review (TO BE PAID AT TIME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL) 10. Permit and First Year Inspection Fees, Disturbed Area Less Than One Acre $200 (TO BE PAID PRIOR TO SCHEDULING PRECONSTRUCTION CONFERENCE FOR EROSION CONTROL PERMIT) 11. Annual Permit Renewal and Inspection Fees, Disturbed Area Less Than One Acre $200 (TO BE PAID ANNUALLY,STARTING WITH SECOND YEAR,UNTIL COMPLETION OF APPROVED PLAN REQUIREMENTS) 12. Plan Review,Disturbed Area One Acre or Larger $300 per review (TO BE PAID AT TIME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROV Permit and First Year Inspection Fees, Disturbed Area One Acre or Larger $100/per disturbed acre (TO BE PAID PRIOR TO SCHEDULING PRECONSTRUCTION CONFERENCE FOR EROSION CONTROL PERMIT) 14. Annual Permit Renewal and Inspection Fees,Disturbed Area One Acre or Larger $100/per disturbed acre (TO BE PAID ANNUALLY,STARTING WITH SECOND YEAR,UNTIL COMPLETION OF APPROVED PLAN REQUIREMENTS) 15. Each reinspection $250 (REINSPECTION FEES ARE INVOICED TO THE LANDOWNER) 16. Amendment to Approved Plan $180/per plan review (TO BE PAID AT TIME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL) 17. Variances $760/per request (TO BE PAID AT TIME OF APPLICATION) 18. SUBTOTAL EROSION CONTROL PLAN $ Revised September 15,2008 Page 2 of 3 Nome' ,ftiefe STORMWATER MANAGEMENT/BMP PLAN & MITIGATION PLAN: (SUBMIT 2 COPIES) 19. Stormwater Management/BMP Plan. 300 r plan review (TO BE PAID AT TIME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL) 20. Major Amendment of Plan $180/per plan review (TO BE PAID AT TIME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL) 21. Request for exception $240 (TO BE PAID AT TIME OF APPLICATION) 22. Request for development in a stream buffer or for reduction or modification of stream buffer and mitigation plan(if not part of another document)—Single family dwelling unit or accessory structure $85 (TO BE PAID AT TIME OF APPLICATION) 23. Each inspection or reinspection $60 (INSPECTION/REINSPECTION FEES ARE INVOICED TO THE LANDOWNER) 24. Mitigation Plan $860 (TO BE PAID AT TIME OF APPLICATION) 25. SUBTOTAL SWM/BMP PLAN $ t 0 TOTAL APPLICATION FEE: (Add lines 18 and 25) $ (.)0 0 THE OWNER SHALL BE RESPONSIBLE FOR ALL REINSPECTION AND/OR ANNUAL RENEWAL FEES WHICH MAY BE CHARGED TO THIS PROJECT. Revised September 15,2008 Page 3 of 3 Albemarle Coui, / Community Development Department �"/ 401 lqt 11.Wire Road Charlottesville,VA 22902-4596 Planning Application Voice:(434)296-5832 Fax:(434)972-4126 'PARCEL/ OWNER INFORMATION TMP 055E0-01-00-000A1 Owner(s): Application # WP0201300021 MARCH MOUNTAIN PROPERTIES LLC PROPERTY INFORMATION Legal Description OLD TRAIL PARENT TRACT Magisterial Dist. White Hall Land Use Primary Commercial Current AFD Not in A/F District Current Zoning Primary Rural Areas APPLICATION INFORMATION Street Address 5494 GOLF DR CROZET, 22932 Entered By Application Type Water Protection Ordinances Todd Shifflett 03/26/2013 Project Old Trail Village Block 14 Received Date 03/21/13 Received Date Final Submittal Date Total Fees 1200 Closing File Date Submittal Date Final Total Paid 1200 Revision Number Comments Legal Ad SUB APPLICATION(s) Type - I Sub Appiicati . Comment- Erosion and Sediment Control Plan Starmwater Management/BMP Plan 'APPLICANT/ CONTACT INFORMATION ContactType 1 Name I Address CityState Zp Phone PhoneCell A owner/Applicant MAP,CN MOUNTAIN PROPEit?IES LLC P O X 370 °cROZET /A 22932`413 Primary Contacty BILL LEDBETTER-ROUDABUSH&GALE 3914 MONTICELLO ROAD aCHARLOTTESVILL 22902 4349770205 General Contractor SCOTT BRADSHAW-AG DILLARD P.O. BOX 7427 CHARLOTTESVILL 22906 4349859088 Plan Preparer ROUDABUSH AND GALE 914 MONTICELLO ROAD CHARLOTTESVILL 22902 4349770205 Signature of Contractor or Authorized Agent Date • Application for Review of-WPO_- Application " osion_&_Sedim... http://www.albemarle.org/' 'lad/images/forms_center/departments... ninon° Neil Application for Review of „,-`, Erosion & Sediment Control Plan & Stormwater Management/BMP Plan & ,� Stream Buffer Mitigation Plan (g Erosion&Sediment Control Plan 15(Storn water Managetnent/BMP Plan ❑ Stream Buffer Mitigation Plan ❑ E&S Plan Amendment ❑SW'M Plan Amendment (Previous Plan# ) (Previous Plan# ) ❑ E&S Plan with Variance ❑Request for Exception #of Variances ❑SWM Plan Resubmittal ❑E&S Plan Resubmittal WPO Application# WPO Application# Submit 2 copies each of applicable plans/narrative/computations *When a WPO plan is reviewed,but not approved,ed and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Project Name: 0LI_Ttl--A 1 I-- 01 LLA-6C: -BL_OL • i4 Tai map and parcel: P SS C-1.-/- )1 7)o-./Zoning: M/I I)) Amount of Land Disturbance: ✓ i 0 Acres Location of property(landmarks.intersections.or other): O(_.I) TV-OIL-L- 6 U(ID. ,./, 5 t C) (4"U =-1---- Contact Person(Who should tsc call:'14rittc conceminz this project?): B I L-L- L 62wa 7- -e- 770,4(4'3,,u,,i .6 (-�1-C Address o)14 f'viC t 1 C e I/o /4v- City ( 14/10 1J S,:lip State Vii- /Zip 7-Z-9('VV 7 Daytime Phone( 927 oZb5 Fax?( ) Z54 c2,2.0 E-mail 1.. i It e rLL,cigCft,_S4 , tp11 Owner of Record 1�/4-0-Gfi. 474-Lt i./in-kJ X01 --,2-n L-L 1-__ � 4 $ J ,. ; (a VS,.4 -- t ut '.C. .s Address 54,-)6, 64-T- or, ✓& City 6-4-1.1Z-c---7— State V� Zip 93Z t a- ' Daytime Phone ate e(a) __ __ _._E-mad PI-Y p C:,LO Tom/}/L V)e.L.4CC CO1A. Contractor A6 -Di LC-ti- L(� — sc 0;rte �,2ft.05/-tif1"/ / V4 Address PO f3O i 742. 7 City (,tiq?%o t:S.i, Ire State V4 Zip 2290 Daytime Phone(g " %Z) 0555 Fax t( ) E-mail �ecT'TG AGDILc4-20. (cvsA Plan Preparer '12-CO' I�Sti,,q_ ft.., t,n &,t -7 Address /1 ittLI”, t 14/l7._ 41 v_ _ _.City ( i¢2(O�751/t i( State �4` Z1p2-791 2- Daytime Phone l O L Fax 2-9 Zw E-mail W i C 4tn ci 4 .1 Si% , e L--� Owner/Applicant Must Read and Sign By signing this application as owner,I hereby certify that all requirements of the approved Erosion Control Plan,Stormwater Management/BMP Plan,and/or:Mitigation Plans ill be complied with and I have the authority to authorize the land disturbing activities and development on ? subject property I hereby g ant the County of Albemarle the right to enter upon the property as required to ensure compliance wi t,e approve. .Ian / 3 ) Ivi )3 Signat t e .-Ova 'r. or me Date �,i_ . _ 72 z( y0 Print Name f Daytime phone number of Signatory FOR OFFICE LSE ONLY WPO ti Fee Atuottnt S\ )),00Date Paid, -A-13Bv uiio"II, L i 1f1�.' kit. II Receipt*10463 Ck= 16(' By" ,1,I __ ,ro \i Revised November 14 2011 Pane 1 of 1 of 3 3/18/2013 1:06 PM Application for Review of-WPO_-_Applicatior erosion_& Sedim... http://www.albemarle.org/•- 'oad/images/forms_center/departments... EROSION CONTROL PLAN: (SUBMIT 2 COPIES) Land disturbing activit.pertaining to single family dwelling unit: 1. Plan Review S150 per review (TO BE PAID AT TIME OF APPLICATION AND EACH StBMITTAI.THEREAFTER UNTIL APPROVAL) 2 Permit and First Year Inspection Fees S150 (TO BE PAID PRIOR TO SCHEDULING PRECONSTRUCTION CONFERENCE FOR EROSION CONTROL PERMIT) 3. Annual Permit Renewal and Inspection Fees S150 (TO BE PAID ANNUALLY.STARTING WITH SECOND YEAR.UNTIL COMPLETION OF APPROVED PLAN REQUIREMENTS) .1. Each reinspection S150 (RELNSPECTION FEES ARE INVOICED TO THE LANDOWNER) Land disturbing activity pertaining to non-exempt agricultural land: 5. Plan Review 5150 per review (TO BE PAID AT TUNE OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL) 6. Permit and First Year Inspection Fees S150 (TO BE PAID PRIOR TO SCHEDULING PRECONSTRUCTION CONFERENCE FOR EROSION CONTROL PERMIT) 7. Annual Permit Renewal and Inspection Fees S-150 (TO BE PAID ANNUALLY.STARTLNG WITH SECOND YEAR.UNTIL COMPLETION OF APPROVED PLAN REQUIREMENTS) 8. Each reinspection 5150 (REINSPECTION FEES ARE INVOICED TO THE LANDOWNER) All other land disturbing activity: 9. Plan Review.Disturbed Area Less Than One Acre S150 per review (TO BE PAID AT TLME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL) 10. Permit and First Year Inspection2 Fees,Disturbed Area Less Than One Acre S200 (TO BE PAID PRIOR TO SCHEDULING PRECONSTRUCTION CONFERENCE FOR EROSION CONTROL PERMIT) 11. Annual Permit Renewal and Inspection Fees_Disturbed Area Less Than One Acre 5200 (TO BE PAID ANNUALLY STARTING WITH SECOND YEAR.UNTIL COMPLETION OF APPROVED PLAN REQUIREMENTS) 12. Plan Review.Disturbed Area One Acre or Larger S300 per review 3 00 (TO BE PAD AT TLME OF APPLICATION AND EACH SUBMI1 LAL THEREAFTER UNTIL APPROVAL) 13. Permit and First Year Inspection Fees.Disturbed Area One Acre or Larger S100/per disturbed acre C U (TO BE PAID PRIOR TO SCHEDULING PRECONSTRUCTION CONFERENCE FOR EROSION CONTROL PERMIT) 14. Annual Permit Renewal and Inspection Fees.Disturbed Area One Acre Or Larger S100/per disturbed acre (TO BE PAID ANNUALLY.STARTING WITH SECOND YEAR.UNTIL COMPLETION OF APPROVED PLAN REQUIREMENTS) 15. Each reinspection S250 (REINSPECTION FEES ARE INVOICED TO THE LANDOWNER) 16. Amendment to Approved Plan 5180/per plan review (TO BE PAID AT TLME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL) 17. Variances S150/per request (TO BE PAID AT TIME OF APPLICATION) 18. SUBTOTAL EROSION CONTROL PLAN S 12-° 0 Revised November 14 2011 Page 2 of 3 2 of 3 3/18/2013 1:06 PM Applkation for Review of-WPO - Applicatior °rosion & Sedim... http://www.albemarle.org/. -load/images/forms center/departments... STORMWATER MANAGEMENT/BMP PLAN& MITIGATION PLAN: (SUBMIT 2 COPIES) 19. Stormwater Management;BMP Plan S300/per plan review (TO BE PAID AT TLME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL) ■ 20. Major Amendment of PIan S180./per plan review TO BE PAID AT TIME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL) 21. Request for exception 5740 (TO BE PAID AT TIME OF APPLICATION) 22.Request for development in a stream buffer or for reduction or modification of stream buffer and mitigation plan(if not part of another document)—Single family dwelling unit or accessory structure S85 (TO BE PAID AT TLME OF APPLICATION) 23.Each inspection of rc111spcction S60 (INSPECTION REINSPECTION FEES ARE UNVOICED TO THE LANDOWNER) 24. Mitigation Plan S150 (TO BE PAID AT TIME OF APPLICATION) 25.SUBTOTAL SWM/BMP PLAN S 3 0 0 TOTAL APPLICATION FEE: (Add lines 18 and 25) S THE OWNER SHALL BE RESPONSIBLE FOR ALL REINSPECTION AND/OR ANNUAL RENEWAL FEES WHICH MAY BE CHARGED TO THIS PROJECT. Retied November 14.2011 Page 3 of 3 3 of 3 3/18/2013 1:06 PM